Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $54.95 / $107.15	Facility		$28.18	$54.95	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $32.36 / $295.12	Professional		$15.14	$32.36	$295.12
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $28.18 / $28.84 / $83.18	Professional	CQ	$28.18	$28.84	$83.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $64,565.42 / $77,624.71 / $95,499.26	Facility		$64,565.42	$77,624.71	$95,499.26
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $51.29 / $51.29	Professional		$48.98	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $56.23 / $61.66	Facility		$43.65	$56.23	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $43.65 / $57.54	Professional		$23.44	$43.65	$57.54
MountainHealth Co-op Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $56.23 / $58.88	Facility		$42.66	$56.23	$58.88
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $56.23 / $58.88	Professional		$42.66	$56.23	$58.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $32.36 / $61.66	Facility		$19.50	$32.36	$61.66
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $52.48 / $79.43	Professional		$32.36	$52.48	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $34.67 / $56.23	Professional		$30.20	$34.67	$56.23

Montana rates for HCPCS 97535